Fond-des-Blancs Commune Map Request Form
ADF and Build Health International have partnered to assess and map the Fond des Blancs Commune following Hurricane Matthew. This form allows you to directly request specific maps from the area, created by our partner, the Center for Community GIS. Please fill out the form and we will get back to you as soon as we can. We do request that if we provide you with maps, you keep us up to date on your activities in the communities your organization is working in so that we can update the maps accordingly. To learn how to submit an organizational activity report, please email Avery at

If you are looking for assessment data, please fill the Info Request Form here:

Date *
Name *
Your answer
Organization / Affiliation *
Your answer
Email Address *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Build Health International. Report Abuse - Terms of Service - Additional Terms